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General NPI Number Information
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NPI Number | 1972846483
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Entity Type | Organization
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Legal Business Name | MURRAY A THALE MD A PROF CORP
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 17868 HIGHWAY 18 SUITE 800
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1267
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Country | US
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Telephone | 760-399-0797
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Fax |
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Provider Business Mailing Address
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Address Line | 17868 HIGHWAY 18 SUITE 800
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1267
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Country | US
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Telephone | 760-399-0797
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | MURRAY ALLEN THALE
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Credential | M.D.
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Telephone | 760-399-0797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | C37450
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License Number State | CA
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